ascension|st. mary's of michigan - saginaw financial ... · pdf fileburkey, thomas md...

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Ascension|St. Mary's of Michigan - Saginaw Financial Assistance Program September-17 Covered/Non-Covered Providers Per Reg. Sec. 1.504(r)-4(b)(1)(iii)(F) and Notice 2015-46, this list specifies which providers of emergency and medically necessary care delivered in the hospital facility are covered by the Financial Assistance Policy (FAP). Elective procedures and other care that is not emergency care or otherwise medically necessary are not covered by the FAP for any providers. The following list identifies covered and non-covered providers by FAP for each Ascension Mid- Michigan Region Facility. Full lists for each entity under Ascension Mid-Michigan Region are also available on the facilities website and in paper form upon request. Covered/Non-Covered Provider Listings are updated at least quarterly to assure accurate identification of care providers covered and not covered by the Financial Assistance Program. Covered Providers Non-Covered Providers Abbott, Faith DO Abraham, Ancy NP Adel, Joseph MD Abu-Romeh, Omar MD Advanced Diagnostic Imaging, PC Ader, Christopher NP Akbar, Waheed MD Aftab, Macksood DO Akhtar, Naveed MD Agayby, Rita MD Anderson, Alexander PA Ahmad, Khurshid MD Anwar, Sarosh MD Ahmed, Tazeen MD Bach, Janet DO Aikoye, Salisu MD Balcueva, Ernie MD Akbar, Jamal MD Becker, Susan NP Akhter, Nilufa MD Bender-Stafford, Jennifer NP Al Amer, Hussein MD Boensch, Rebecca NP Al Jayyousi, Bashar MD Boggess, Brent MD Alamah, Abdurrahman MD Botz, Patrick DO Alani, Firas MD Burkey, Thomas MD Aldawood, Mohammed MD Carney, Jeffery MD Alhourani, Hazem MD Christianson, Rachael NP Aljefri, Mohamed MBBS Collins, John MD Alotaibi, Saleh MBBS Connaghan, Ann MD Al-Rejleh, Ayman MD Crook, Nicole PA Alvarez, Corey MD Fattal, Peter MD Amin, Altamash MD Felsing, Nicole NP Amin, Parthiv MD Field, E. Malcolm MD Ananich, Marina MD Flattery, Edwin PA-C Ansari, Larry MD

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Page 1: Ascension|St. Mary's of Michigan - Saginaw Financial ... · PDF fileBurkey, Thomas MD Aldawood, Mohammed MD Carney, ... LaGrow, Stephanie PA-C Bays, Ronald MD Licht, Ruth DO Bays,

Ascension|St. Mary's of Michigan - Saginaw

Financial Assistance Program

September-17

Covered/Non-Covered Providers

Per Reg. Sec. 1.504(r)-4(b)(1)(iii)(F) and Notice 2015-46, this list specifies which providers of

emergency and medically necessary care delivered in the hospital facility are covered by the Financial

Assistance Policy (FAP). Elective procedures and other care that is not emergency care or otherwise

medically necessary are not covered by the FAP for any providers.

The following list identifies covered and non-covered providers by FAP for each Ascension Mid-

Michigan Region Facility. Full lists for each entity under Ascension Mid-Michigan Region are also

available on the facilities website and in paper form upon request.

Covered/Non-Covered Provider Listings are updated at least quarterly to assure accurate identification

of care providers covered and not covered by the Financial Assistance Program.

Covered Providers Non-Covered Providers

Abbott, Faith DO Abraham, Ancy NP

Adel, Joseph MD Abu-Romeh, Omar MD

Advanced Diagnostic Imaging, PC Ader, Christopher NP

Akbar, Waheed MD Aftab, Macksood DO

Akhtar, Naveed MD Agayby, Rita MD

Anderson, Alexander PA Ahmad, Khurshid MD

Anwar, Sarosh MD Ahmed, Tazeen MD

Bach, Janet DO Aikoye, Salisu MD

Balcueva, Ernie MD Akbar, Jamal MD

Becker, Susan NP Akhter, Nilufa MD

Bender-Stafford, Jennifer NP Al Amer, Hussein MD

Boensch, Rebecca NP Al Jayyousi, Bashar MD

Boggess, Brent MD Alamah, Abdurrahman MD

Botz, Patrick DO Alani, Firas MD

Burkey, Thomas MD Aldawood, Mohammed MD

Carney, Jeffery MD Alhourani, Hazem MD

Christianson, Rachael NP Aljefri, Mohamed MBBS

Collins, John MD Alotaibi, Saleh MBBS

Connaghan, Ann MD Al-Rejleh, Ayman MD

Crook, Nicole PA Alvarez, Corey MD

Fattal, Peter MD Amin, Altamash MD

Felsing, Nicole NP Amin, Parthiv MD

Field, E. Malcolm MD Ananich, Marina MD

Flattery, Edwin PA-C Ansari, Larry MD

Page 2: Ascension|St. Mary's of Michigan - Saginaw Financial ... · PDF fileBurkey, Thomas MD Aldawood, Mohammed MD Carney, ... LaGrow, Stephanie PA-C Bays, Ronald MD Licht, Ruth DO Bays,

Forsyth, Douglas MD Anwar, Farrukh MD

Gudipati, Chalapathirao MD Aqil, Arshad MD

Ham, Emmily CRNA Argyle, Michael MD

Hashmi, Shahrukh MD Arnold, George MD

Hayes, Joni CRNA Arterbery, V. Elayne MD

Herm, Richard NP Ascherl, George MD

Hurren, Jodi NP Ashker, Lawrence DO

Jaskiewicz, Susan NP Assar, Soheil DO

Kadri, Adebambo MD Atri, Manohar MD

Kambali, Shrinivas MD Badami, Umeshkumar MD

Kandulski, Adam MD Balachandran Pillai, Ashwathy MD

Kanjwal, M. Khalil MD Ball, Victoria NP

Kanjwal, M. Shaffi MD Barry, Ronald MD

Kassas, Safwan MD Bartnik, John MD

Khan, Mohammad Yahya MD Bashir, Mohammad MD

Khetarpal, Vipin MD Bastiampillai, Berny MD

Kolbiaz, Jennifer NP Baumstark, Reynold DDS

LaGrow, Stephanie PA-C Bays, Ronald MD

Licht, Ruth DO Bays, Sussan MD

Maganti, Venkat MD Bearer, Ryan DO

Maresca, Luigi MD Bedell, Michael PA

McNett-Fettinger, Beth NP Beene, Joel MD

Michalak, Michael PA-C Beg, Shafia MD

Moore, Jill NP Beird, Thomas MD

Negrete, Candice NP Bekhrad, Abbas MD

Nievierowski, Shawna NP Bens, Michelle DO

Oggema, Angelina NP Berge, Steven PA

Persons, Michael PA Bernardino, Eventure MD

Rasmussen, Chandra NP Bhandiwad, Abhishek MBBS

Salibi, Naman MD Bhandiwad, Anirudha MD

Sarkar, Arup MD Bhavsar, Vedang MD

Sarvepalli, Raghuram MD Bills, Thomas MD

Sauve, David PA Blair, H. MD

Selvaraj, Carrie MD Blank, Martin MD

Shariff, Shiraz MD Blebea, John MD

Steinbacher, Susan NP Blodgett, David MD

Steinbacher, Susan NP Borenitsch, Robert DO

Szilagyi, Carmen MD Boyce, Brent MD

Taha, Tarek MD Boysen, Dennis MD

Taj, Asma MD Bramlett, Erika MD

Wang, Weichen MD Braun, Connie MD

Page 3: Ascension|St. Mary's of Michigan - Saginaw Financial ... · PDF fileBurkey, Thomas MD Aldawood, Mohammed MD Carney, ... LaGrow, Stephanie PA-C Bays, Ronald MD Licht, Ruth DO Bays,

Williamson, Stacey NP Breidinger, Marcus PA

Young, Bridget NP Brenner, Laurie NP

Yunus, Asim MD Brody, Kevin MD

Yusaf, Pervez MD Brooks, Gary MD

Zaman, Liaqat MD Brown, Gregory MD

Brown, Kimberly NP

Bullock, Mark DPM

Bulusu, Aditya MD

Bulusu, Usha MD

Bunn, Glen MD

Burgess, Anthony MD

Canales, Erica MD

Caputo, Dane DO

Caralis, James DO

Cartwright, Alexis NP

Carty, George MD

Chacko, Joseph NP

Chaku, Vijay MD

Charbel, Jacquelyn DO

Charlton, Thomas MD

Chavali, Subbarao MD

Chembola, Madline MBBS

Cheney, Scott MD

Cherukuri, Ramesh MD

Chokshi, Rakesh MD

Christopoulos, Jamie DO

Chung, Moonyoung MD

CMU, RESIDENT FAM MED

CMU, RESIDENT IM

CMU, RESIDENT SURG

Coe, Lauren DO

Cohen, Andrew DPM

Collier, Eric DO

Constantino, Kristin MD

Cook, Carla MD

Coughlin, Brenda MD

COVENANT GROUP,

COVER OWN M-F,

Cox, Ryan MD

Cummings, Christopher PA

Darnell, Jean PA

Page 4: Ascension|St. Mary's of Michigan - Saginaw Financial ... · PDF fileBurkey, Thomas MD Aldawood, Mohammed MD Carney, ... LaGrow, Stephanie PA-C Bays, Ronald MD Licht, Ruth DO Bays,

Davari, Maryam MD

Dedicatoria, Rodames MD

Dedicatoria, Virginia MD

DeGayner, Erika DO

DeHart, Del MD

DeHart, Kathleen NP

Dhar, Josephine MD

Domingo, Angie MD

Doornbos, Amy PA-C

Dudenhoefer, Brian MD

Duffy, Daniel DO

Dumas, Robert MD

Duncan, Danielle MD

Dutcher, Megan DO

Dymek, Daniel MD

Dymek, Mary NP

Dziuba, Karen NP

Eidah, Almohanad MD

Ellsworth, Jesse MD

Elsholz, Christine MD

Erickson, Elizabeth PA

Farrar, Gerard MD

Farrukh, Shahana MD

Fettinger, Steven MD

Franklin, Andrew MD

Franklin, Karensa MBBS

Gadam, Ramakrishnayya MD

Galsterer, E. George DO

Gardner, Tressa DO

Gaughan, Eric DPM

Gedwill, Michael DO

Genco, Christopher MD

Ghantasala, Paritharsh MD

Goodrich, Andrew MD

Goodwin, Amanda PA-C

Gowda Hanumaiah, Lakshmi MD

Goyt, Paul MD

Graebner, Brittney CCP

Graham, Kamara MD

Grant, Steven CCP

Greenwell, Mark MD

Page 5: Ascension|St. Mary's of Michigan - Saginaw Financial ... · PDF fileBurkey, Thomas MD Aldawood, Mohammed MD Carney, ... LaGrow, Stephanie PA-C Bays, Ronald MD Licht, Ruth DO Bays,

Gudipati, Smitha MD

Gudipati, Suhasini MD

Gugino, George MD

Guidot, Charles MD

Guntupalli, Srinandan MD

Gupta, Puneet MD

Hackett, Timothy MD

Hara, Trina MD

Hart, Joy MD

Hassan, Maha DO

Haupt, Marilyn MD

Hazen, Gregory MD

Heberer, Christopher DO

Heilbronn, Duane MD

Heinzelmann, Mark MD

Hennig, Theodore DDS

Henry, Thomas MD

Herber, Kara DO

Hernden, Elizabeth NP

Hines, James MD

Holden, Matthew MD

Holden, Randall MD

Hollis, Jonathan NP

Holmes, Robert MD

Horbal, Jonathan DO

Horbal, Richard MD

House, Nina MD

Howard, J. DMD

Hughes, John MD

Hussain, Mirza MD

Indira, Channakeshava MD

Ingles, Shawn DO

Iqbal, Rashid MD

Jaber, Ahmad MD

Jacob, Rahul MD

Jacob, Sara MD

Jafari, Jehad MD

Jafferany, Mohammad MD

Jagirdar, Mayuri MD

Janssen, Furhut DO

Jarema, Beverly DO

Page 6: Ascension|St. Mary's of Michigan - Saginaw Financial ... · PDF fileBurkey, Thomas MD Aldawood, Mohammed MD Carney, ... LaGrow, Stephanie PA-C Bays, Ronald MD Licht, Ruth DO Bays,

Jensen, Steven MD

Jensen, Theresa NP

Jesko, James DO

Jessup, Thomas PA-C

Jilani, M. Sohail MD

Johnykutty, Anila PA-C

Jones, Mark MD

Joseph, Japhet MD

Jundi, Mayar MD

Kable, Marcie PA

Kais, Samer MD

Kakos, Belinda DO

Kamal, Tareq MD

Kamaraju, Praveen MD

Kanneganti, Madhavi MD

Kapoor, Ankita MBBS

Karunakaran, Kizhakepat MD

Kemp, Anjanette DO

Kerbleski, Kristen NP

Kershen, Glenn MD

Kershnar, Lauren MD

Khaira, Sharanjit MD

Khalid, Zaira MD

Khan, Ayesha MD

Khan, Iftikhar MD

Khan, M. Asim MD

Khan, M. Umar MD

Khan, Sadia MD

Khan, Zubeda MD

Khetarpal, Minoo MD

Kichloo, Asim MD

Kim, Young MD

Kinachtchouk, Lioudmila MD

Kinachtchouk, Nikolai MD

Klein, Shelly PA

Knobeloch, Deirdre DO

Knowlton, Abbey PA

Kogulan, Palaniandy MD

Kottamasu, Sambasiva MD

Krebs, David MD

Krishnamoorthy, Madhumitha MD

Page 7: Ascension|St. Mary's of Michigan - Saginaw Financial ... · PDF fileBurkey, Thomas MD Aldawood, Mohammed MD Carney, ... LaGrow, Stephanie PA-C Bays, Ronald MD Licht, Ruth DO Bays,

Ktaich, Nessrine MD

Kumar, Narendra MD

LaClair, Paul MD

LaFleur, Andrew MD

LaFleur, James MD

LaLonde, Lawrence MD

Lambert, Phillip MD

Lancaster, Jessica MD

Landrey, Christopher DO

Larkin, Medley DO

Lassing, Peter MD

Lawrence, Aaron DO

Layko, Shirley MD

Letourneau, Marcel DO

Liu, Bei MD

Llewelyn, John MD

Long, Toby MD

Lopez, Ashley MD

Lorenzo, Veronica MD

Ludka, Mark MD

Lusk, William DO

Lynch, Brodi MD

MacDonald, Jayne NP

Machavarapu, Haritha MD

MacInnes, William Ph.D.

Madala, Lakshmana MD

Madhavan, Devika MD

Maganti, Bapineedu MD

Mager, Stephanie MD

Mahfooz, Naveed MD

Mahmud, Rehan MD

Malik, Khalid MD

Manawar, Shahzad MD

Manlapit, Albert MD

Mann, Gurtej MBBS

Mannam, Sreenivas MD

Manoharan, Jamuna MD

Maresca, Carlotta MD

Marouf, Loai DO

May, Bob DO

McIntosh, Tricia NP

Page 8: Ascension|St. Mary's of Michigan - Saginaw Financial ... · PDF fileBurkey, Thomas MD Aldawood, Mohammed MD Carney, ... LaGrow, Stephanie PA-C Bays, Ronald MD Licht, Ruth DO Bays,

Mckuen, Mary MD

McLaren, Emily MD

McLean, Steven MD

Meldrum, Daniel MD

Menapace, Kurt MD

Messana, Sigrid DO

Meyer, Laurie NP

Milewski, Jeffrey DO

Miller, Joseph Ph.D.

Min, Steve DO

Minnec, Thomas MD

Mir, Imran MD

Mithalal, Rajesh MD

Mohammad, Sulaiman MD

Mohan, Kochunni MD

Moormann, Michael CCP

Moustarah, Fady MD

Moylan, George DO

Mridha, Debasish MD

Mullins, Mary MD

Mulpuri, Rama MD

Munch, Stephanie NP

Mupparaju, Vamsee MD

Murphy, Kristi MD

Nadolski, David MD

Nahata, Babu MD

Nakagawa, Nobuo MD

Nallani, Gopi MD

Nallani, Sudha MD

Nandar, Phoo Pwint MBBS

Nelsen, Kristin MD

Nord, Todd CCP

Noveloso, Bernard MD

Nusrat, Sajeda MD

Nwankwo, Pearl NP

Oberbarnscheit, Thersilla MD

O'Dea, Christopher NP

O'Grady, John MD

Ogunneye, Owolabi MD

Oravitz, Christopher MD

Ornazian, Sara DO

Page 9: Ascension|St. Mary's of Michigan - Saginaw Financial ... · PDF fileBurkey, Thomas MD Aldawood, Mohammed MD Carney, ... LaGrow, Stephanie PA-C Bays, Ronald MD Licht, Ruth DO Bays,

Osama, Sayed MD

Osborn, Daniel MD

Osuagwu, Ferdnand MD

Otremba, Kymberly NP

Owens, Robert CCP

Pagler, Elizabeth MD

Paling, Daniel MD

Palmer, Erin DPM

Palya, Aniruddha MD

Pammit, Michael MD

Pandit, Sunil MD

Panesar, Navneet MD

Parashar, Sunil MD

Parmar, Angadbir MBBS

Parsons, David DO

Passal, Donald MD

Pastolero, Paul MD

Patel, Dhara MD

Patel, Neil MD

Patel, Sugar MD

Patel, Sujal MD

Paulus, Elizabeth MD

Perkins, Allison MD

Perni, Niharika MD

Perry, Brian MD

Perzhinsky, Juliette MD

Phifer-Combs, Olivia MD

Pierce, Christopher CCP

Pilarski, Janelle PA

Pinnell, Gregory MD

Pittas, William DO

Pitts, Eric DO

Plath, Dianne MD

Pobanz, Rhonda NP

Polosina, Evgenia MD

Prakash, Sanjeev MD

Pruitt, Delicia MD

Punnoose, Priya MD

Putman, Blake MD

Putman, James MD

Qadri, Nasser MD

Page 10: Ascension|St. Mary's of Michigan - Saginaw Financial ... · PDF fileBurkey, Thomas MD Aldawood, Mohammed MD Carney, ... LaGrow, Stephanie PA-C Bays, Ronald MD Licht, Ruth DO Bays,

Qureshi, Zakir MD

Radewahn, Jennifer PA

Rajoulh, Ibtihaj MD

Raju, Ramesh MD

Rakiec Augustine, Gretchen DO

Ramaiyah, Senthil MD

Ramasamy, Kala MD

Ramasamy, Sundhar MD

Ramos, Marco MD

Ratani, Rita MD

Rath, Pallavi MBBS

Rathi, Tanoja DO

Raveendran, Shirley MD

Reddy, Snehal MD

Rene', Jonathan MD

Retzler, Zachary PA

Richardson, Kristopher DO

Richardson, Lekha MD

Richardson, Todd MD

Ringley, Chad MD

Roberson, Shawn NP

Robinson, Jacquelyn MD

Robinson, Kevin MD

Roda, Rex MD

Rodrigues, Nimmy MD

Rogers, Clinton MD

Roland, Stanley DO

Romeu, Jennifer MD

Roy, Nikita MD

Rozen, Eugene MD

Ruddy, Sydney PA-C

Russell, Deborah MD

Russo, Scott DO

Rydesky, Peter MD

Sahouri, Majed MD

Sanghera, Triptpal MD

Sankaran, Jaya MD

Sarvepalli, Bhrama MD

Schaller, Derek MD

Scharf, Keith MD

Schell, Gerald MD

Page 11: Ascension|St. Mary's of Michigan - Saginaw Financial ... · PDF fileBurkey, Thomas MD Aldawood, Mohammed MD Carney, ... LaGrow, Stephanie PA-C Bays, Ronald MD Licht, Ruth DO Bays,

Schinco, Frank MD

Schmidt, Jennifer DO

Schteingart, Miriam MD

Scott, Constance DO

Seals, Eugene MD

Secor-Jones, Sarah DO

Shah, Bilal MD

Shah, Biren MD

Shah, Tushar MD

Shaheen, Samuel MD

Shaikh, Maliha MD

Sharma, Manoj MD

Sharp, Stacey MD

Sherwin, Heather MD

Shokoohi, Farhad MD

Shokoohi, Kamran MD

Shuster, Thomas DO

Singh, Birjitender MD

Singh, Harpal MD

Singh, Harprabhjit MD

Singh, Sukhmanpreet MD

Sinischo, Brian MD

Slear, Aron MD

Smith, Patrick PA

Solh, Wael MD

Soni, Ronak MD

Sound Physicians (Hospitalists)

Spence, Kristine DO

Stalin, Vasanth MD

Stelmashuk, Nadezda MD

Sudhakar, Rajeev MD

Sugimoto, Kimiko MD

Sundstrom, Renee DO

Surmann, Gerald MD

Suro, Derek PA

Susalla, Kristina PA

Sweterlitsch, Eric MD

Talasila, Hema MD

Talati, Sanjay MD

Taylor, Julie MD

Tesoro, Derek DPM

Page 12: Ascension|St. Mary's of Michigan - Saginaw Financial ... · PDF fileBurkey, Thomas MD Aldawood, Mohammed MD Carney, ... LaGrow, Stephanie PA-C Bays, Ronald MD Licht, Ruth DO Bays,

Thomas-Robinson, Latonya MD

Tinklepaugh, Mary NP

Toupin, Jared MD

Trinh, Ivan MD

Trochakerian, Sarine MD

Udehn, David MD

Valdez, Carrie MD

Van Donselaar, Katy DO

Vattipally, Venkatramana MD

Veenhuis, Chandler DO

Velasco, John MD

Villano, Teresa NP

Waack, Matthew MD

Wagner, Andrew MD

Wagner, Jack MD

Wagner, Mary Jo MD

Wagner, Noel MD

Walk, Melody NP

Walter, Julia MD

Ward, Roger PA

Waseef, Ahmad MD

Waterman, Amanda MD

Watson, Pauline DO

Weese, Tyler MD

Weiss, Timothy CCP

Welch, Melissa NP

Welsh, Kelly DO

Wendling, Stacey NP

Wiersema, David DO

Wilkins, Donald MD

Williams, Terri MD

Willy, Mildred MD

Wolinski, Chad NP

Wolohan, Michael MD

Woodbury, Scott DMD

Workman, Benjamin MD

Xavier, Jerry MD

Yanek, Salam MD

Yaney, Kent DO

Yee, Harvey MD

Yoon, Yong MD

Page 13: Ascension|St. Mary's of Michigan - Saginaw Financial ... · PDF fileBurkey, Thomas MD Aldawood, Mohammed MD Carney, ... LaGrow, Stephanie PA-C Bays, Ronald MD Licht, Ruth DO Bays,

Zacharek, Claudia MD

Zaidi, Fakhar MD

Zandri, Jessica MD

Last Updated: 9/28/2017